Individual
HEINRICH DAVID FAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2375 E PRATER WAY, SPARKS, NV 89434-9641
(775) 331-7000
Mailing address
6264 E STAR VALLEY ST, MESA, AZ 85215-9647
(480) 754-9231
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19752
NV
207P00000X
Emergency Medicine Physician
R76036
AZ
Other
Enumeration date
04/09/2017
Last updated
06/27/2020
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